Information Collection

Pay Now Enter Info Page

IC 28941 under ICR 200710-2900-026 · OMB 2900-0663.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0663 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
payva_screen.pdf www.pay.va.gov/	Other-Internet

IC Title:

Pay Now Enter Info Page

Agency IC Tracking Number:

2900-0663

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 900-904 38 CFR 1.900-1.953 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet			payva_screen.pdf	https://www.pay.va.gov/	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30,000	23,000	7,000
Annual IC Time Burden (Hours)	5,000	3,833	1,167
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.